Incidence rate of vitamin D deficiency and FGF23 levels in 12- to 13-year-old adolescents in Japan

INTRODUCTION: The incidence rate of vitamin D deficiency is increasing throughout the world. We measured the incidence rate of vitamin D deficiency and fibroblast growth factor 23 (FGF23) levels in 12- to 13-year-old adolescents in Japan.

MATERIALS AND METHODS: A total of 492 adolescents (247 boys and 245 girls) from Japanese community enrolled in this study. 25 hydroxyvitamin D (25(OH)D) was measured with radioimmunoassay. In the subjects with low 25(OH)D levels (≦ 20 ng/ml), intact parathyroid hormone (iPTH), calcium (Ca), phosphorus (P), albumin (Alb), alkaline phosphatase (ALP) and FGF23 were measured.

RESULTS: 25(OH)D levels were significantly lower in girls (20.9 ± 3.1 ng/ml) than in boys (22.2 ± 3.3 ng/ml) (p < 0.0001). Fifty-five boys (22.3%) and 83 (33.9%) girls showed vitamin D deficiency (< 20 ng/ml). One-hundred eighty-six (75.3%) boys and 162 (66.1%) girls showed vitamin D insufficiency (≧ 20 ng/ml, < 30 ng/ml). In the subjects whose 25(OH)D levels were ≦ 20 ng/ml, the levels of iPTH, Ca, P, Alb, ALP and FGF23 were 22.3 ± 9.0 pg/ml, 9.5 ± 0.4 mg/dl, 4.7 ± 0.6 mg/dl, 4.6 ± 0.3 g/dl, 920.8 ± 339.3 U/l and 42.6 ± 26.0 pg/ml, respectively. There was a significant negative association between serum 25(OH)D levels and iPTH [r =  - 0.290 (p < 0.0001)]. There was no significant association between serum 25(OH)D levels and FGF23.

CONCLUSION: We show that 28% of Japanese 12- to 13-year-old early adolescents suffer from vitamin D deficiency. Findings from this study indicate that vitamin D deficiency requires close oversight in public health during adolescence to ensure proper bone health.

Medienart:

E-Artikel

Erscheinungsjahr:

2021

Erschienen:

2021

Enthalten in:

Zur Gesamtaufnahme - volume:39

Enthalten in:

Journal of bone and mineral metabolism - 39(2021), 3 vom: 01. Mai, Seite 456-462

Sprache:

Englisch

Beteiligte Personen:

Koyama, Satomi [VerfasserIn]
Kubota, Takuo [VerfasserIn]
Naganuma, Junko [VerfasserIn]
Arisaka, Osamu [VerfasserIn]
Ozono, Keiichi [VerfasserIn]
Yoshihara, Shigemi [VerfasserIn]

Links:

Volltext

Themen:

1406-16-2
25 hydroxyvitamin D
25-hydroxyvitamin D
27YLU75U4W
62031-54-3
7Q7P4S7RRE
A288AR3C9H
Adolescent
Alkaline Phosphatase
Calcium
Children
EC 3.1.3.1
FGF23
FGF23 protein, human
Fibroblast Growth Factor-23
Fibroblast Growth Factors
Journal Article
PTH
Parathyroid Hormone
Phosphorus
SY7Q814VUP
Serum Albumin
Vitamin D

Anmerkungen:

Date Completed 13.05.2021

Date Revised 04.12.2021

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1007/s00774-020-01173-3

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM317734202